Introduction
Eye bags can make a person look tired and older than their actual age. In New York City, there are several popular and powerful hospitals and clinics that offer the internal approach for removing eye bags. This method, also known as transconjunctival blepharoplasty, has many advantages such as no external scars, faster recovery, and better preservation of the eye shape. In this article, we will explore the top options for this procedure in the city, along with relevant details about the surgery, recovery, and more.
What is Transconjunctival Blepharoplasty?
Transconjunctival blepharoplasty is a type of lower eyelid surgery. The eyelids consist of delicate tissue layers, including skin and muscle, and are closely related to the eye and the orbital bone structure. Fat pockets in the orbit can prolapse forward, leading to under - eye bags. In transconjunctival blepharoplasty, the procedure is performed from the inside of the eyelid without any external incisions. This approach helps to improve the appearance of eye bags by sculpting and repositioning the fat pockets.
The benefits of this method are significant. Since there are no outside scars, the result looks more natural. It also has a faster recovery time compared to traditional lower eyelid surgery, with less trauma around the eyes and reduced bruising and swelling.
Popular Hospitals and Clinics in New York City for Transconjunctival Blepharoplasty
1. Prasad Cosmetic Surgery
Dr. Amiya Prasad at Prasad Cosmetic Surgery is an expert in performing transconjunctival blepharoplasty. He is an oculofacial plastic surgeon, which is a rare specialty. This super - specialty involves training as both a facial cosmetic surgeon and an ophthalmologist. He also performs full - body cosmetic surgery and is a diplomate of the American Board of Cosmetic Surgery.
Dr. Prasad is known for his artistic style in lower eyelid surgery. He focuses on creating a natural look, as if the eye bags were never there. His system ensures thorough extraction of the fat that causes puffy eye bags, along with an artistic touch to sculpt fat for a natural look and contour of the lower eyelids. The whole process of lower eyelid blepharoplasty can be performed in about 1 hour in his private joint commission - certified operating facilities located within his office.
He uses local anesthesia with his trademarked lite® iv sedation. This approach makes the recovery time faster and avoids the complications associated with general anesthesia. His patients usually recover from eye bag surgery and return to work within a week, and there is often no bruising by the end of the second week after surgery.
2. Romo Plastic Surgery
Dr. Thomas Romo III, MD, FACS, at Romo Plastic Surgery is one of the most experienced and respected plastic surgeons for blepharoplasty in the world. He is double - board - certified (American Board of Otolaryngology — Head and Neck Surgery and the American Board of Facial Plastic and Reconstructive Surgery).
For blepharoplasty, he offers both upper and lower eyelid surgery. In lower blepharoplasty, he can perform the transconjunctival approach. He will discuss with the patient during the consultation to determine the most appropriate technique based on the patient's condition. His meticulous minimally invasive surgical techniques are known for achieving natural - looking results with a shorter recovery period.
The changes made by Dr. Romo with eyelid surgery are permanent. Although the eyelids will continue to age to some degree, the fat and extra skin removed are gone for good. Most patients feel their faces look about 10 years younger after blepharoplasty.
3. Dr. Barry Weintraub's Practice
Dr. Barry Weintraub is a top NYC plastic surgeon who is board - certified and Ivy League educated at the Weill - Cornell Medical Center. He has over two decades of experience and is a national spokesperson for the American Board of Plastic Surgery.
He offers festoon removal (removal of eye bags) in NYC. For eye bag removal, he can use the transconjunctival surgical approach. He insists on the most sterile conditions in the New York City operating room with board - certified anesthesiologists and state - of - the - art monitoring equipment. His aesthetic is sophisticated and reflective of understated elegance, aiming to create flat, even skin without draping, bagging, or puffiness under the eyes.
After the surgery, there may be a short period of very minimal swelling and minimal bruising. Patients need to carefully follow all his instructions to achieve the best results.
4. Laser & Skin Surgery Center of New York
This center has a team of experienced plastic surgeons who offer eyelid surgery, including transconjunctival blepharoplasty. Their plastic surgeons typically perform upper and lower blepharoplasty under IV sedation in the office or a surgery center.
The incisions for transconjunctival blepharoplasty are placed inside the lid, to minimize visible scarring afterward. Through the incisions, the surgeon will remove the small pockets of fat and excess skin, to create a smoother, more contoured lower lid. Most patients return to work within 1 - 2 weeks after the surgery, and swelling can persist for 3 - 6 weeks, although it is unlikely to be noticeable to anyone else.
In addition to surgical options, their expert, board - certified dermatologists can customize a treatment plan for other concerns regarding the skin around the eyes, using more than 100 laser and light devices and state - of - the - art techniques.
5. New Face NY
Dr. Richard Westreich at New Face NY offers personalized eyelid surgery in NYC. He holds double board certification with the American Board of Facial Plastic Surgery and the American Academy of Otolaryngology and is renowned as one of the leading facial plastic surgeons in the New York region.
For lower eyelid surgery, he can perform the transconjunctival approach. He makes incisions on the inside of the lower eyelid to address excess fat and skin and may tighten the muscles to improve the lower eyelid’s appearance. The incisions inside the eyelid usually disappear within one month and are discreetly concealed.
The recovery for lower eyelid surgery at his practice may require 7 - 10 days for full recovery. During this time, patients may experience mild to moderate swelling or bruising, which typically diminishes within the first week. Patients can accelerate their recovery by elevating their head while sleeping, using cold compresses, maintaining a good diet, and adhering to prescribed pain medication.
Benefits of Removing Eye Bags through the Internal Approach
- No External Scars: Since the incisions are made inside the eyelid, there are no visible scars on the outside, resulting in a more natural appearance after the surgery.
- Faster Recovery: Compared to external approaches, the internal approach generally has a shorter recovery time. There is less trauma to the surrounding tissues, leading to reduced bruising and swelling, allowing patients to return to their normal activities sooner.
- Better Preservation of Eye Shape: The transconjunctival approach allows for more precise control over fat removal and repositioning, helping to preserve the natural shape of the eye and avoid an over - pulled or unnatural look.
- Improved Aesthetics: By removing the excess fat that causes eye bags, the under - eye area looks smoother, firmer, and more youthful, enhancing the overall appearance of the face.
Who is a Good Candidate for Transconjunctival Blepharoplasty?
Candidates for this procedure are typically those who have lower eye bags, look tired, and have good lower eyelid muscle and skin tone. The cause of eye bags can be genetic, or due to aging, where the fat pockets around the eyes prolapse forward.
People with other eye conditions such as glaucoma, retinal detachment, or thyroid disorders are not good candidates for this surgery. Those suffering from diabetes, cardiovascular disease, or high blood pressure also may not be suitable candidates. Good candidates should be in good overall health and have realistic expectations about the results of the surgery.
Preparing for Transconjunctival Blepharoplasty
Before the surgery, patients will have a consultation with the surgeon. During this consultation, the surgeon will discuss the results that the patient can expect and obtain a detailed health history to confirm optimal wellness before surgery. Lab tests may be ordered for more in - depth health information.
Patients are usually asked to avoid tobacco consumption. Alcohol intake should also be limited in the days before surgery. Certain medications, including supplements and drugs that can increase bleeding, will need to be avoided as well.
The Procedure of Transconjunctival Blepharoplasty
Most surgeries are performed under local anesthesia with sedation. General anesthesia can be used for anxious patients, but local anesthesia with sedation is more common as it has a faster recovery time and fewer complications.
During the procedure, the surgeon will approach the lower eyelid from the inside. The fat pockets are sculpted and repositioned. The surgeon will evaluate the results throughout the procedure to ensure that the shape and contour of the eyes are as desired. If needed, the surgeon may also tighten any loose skin after the fat is removed, often using lasers such as the fractional CO2 laser.
Recovery after Transconjunctival Blepharoplasty
The recovery period for transconjunctival blepharoplasty typically occurs over a two - week period. After 7 to 10 days, patients may look and feel well enough to return to work. Remnant bruising and swelling can easily be disguised with makeup.
Patients may experience some swelling and bruising after the procedure. Cold eye gels can be applied the day after the procedure to help reduce swelling. The eyes may temporarily feel sticky, dry, or itchy. Depending on the type of stitches used, sutures may be removed in 3 - 5 days or stitches will dissolve on their own. Eye drops and sterile ointments may be recommended to help keep the eye area clean.
Most people find that the recovery is not very painful. The surgeon will prescribe pain medication, but most patients find that over - the - counter medication is sufficient. After a week, the stitches are removed, and the majority of the recovery is complete, although there may still be some residual swelling.
Maintaining the Results
To maintain the youthful and rejuvenated appearance achieved by the eyelid lift, patients should adopt a comprehensive skin care routine. This includes protecting the skin from prolonged sun exposure by wearing sunscreen, a hat, and sunglasses when outdoors. Patients may also opt for periodic non - surgical treatments, such as fillers, to enhance and prolong the effects of the blepharoplasty procedure.
Conclusion
In New York City, there are several excellent options for removing eye bags through the internal approach. Hospitals and clinics like Prasad Cosmetic Surgery, Romo Plastic Surgery, Dr. Barry Weintraub's Practice, Laser & Skin Surgery Center of New York, and New Face NY offer high - quality services provided by experienced and skilled surgeons. The transconjunctival blepharoplasty procedure has many benefits, including no external scars, faster recovery, and better preservation of the eye shape.
If you are considering removing your eye bags through the internal approach, it is important to consult with a qualified surgeon to determine if you are a good candidate and to discuss your expectations. Take the first step towards a more youthful and refreshed appearance by reaching out to one of these top - rated providers in New York City.
